b"1099 PRE-PRINTED FORMSIndividual Laser Packs1099-A (ACQUISITION) 1099-B (BROKER) 1099-C (CANCELLATION OF DEBT)8080 VOID CORRECTED 5146 7979 VOID CORRECTED OMB No. 1545-0715 Proceeds From5153 8585 VOID CORRECTED 1 OMB No. 1545-2281 5137 DETACH BEFORE MAILINGDETACH BEFORE MAILINGDETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSLENDERS name, street address, city or town, state or province, country, ZIP orOMB No. 1545-0877 PAYERS name, street address, city or town, state or province, country, ZIP Applicable checkbox on Form 8949 CREDITORS name, street address, city or town, state or province, country, foreign postal code, and telephone no. Form1099-A Acquisition oror foreign postal code, and telephone no. Broker andZIP or foreign postal code, and telephone no. 2 Amount of debt discharged Form1099-C Cancellation (Rev. April 2025) Abandonment of2025 Barter Exchange3 Interest, if included in box 2 (Rev. January 2022) of DebtFor calendar yearSecured Property Form1099-B Transactions $ For calendar year 1a Description of property (Example: 100 sh. XYZ Co.)1 Date of lenders acquisition or 2 Balance of principalCopy A 1b Date acquired 1c Date sold or disposed CREDITORS TIN DEBTORS TIN $ 4 Debt description Copy ALENDERS TIN BORROWERS TIN knowledge of abandonment outstanding For $ Internal RevenuePAYERS TIN RECIPIENTS TIN 1d Proceeds 1e Cost or other basis Copy A DEBTORS name For BORROWERS name 3 4 Fair market value of property Service Center Internal Revenue $ $ Service Centerthe debt . . . . . . $ . . . . . . Privacy Act, andRECIPIENTS name $ 1f Accrued market discount $ 1g Wash sale loss disallowed ForStreet address (including apt. no.) 5 Check here if the debtor was personally liable for. . . . . . . .File with Form 1096. Street address (including apt. no.) 5 Check if the borrower was personally liable for repayment ofPaperwork ReductionShort-term gain or loss 3Check if proceeds from: Internal Revenuerepayment of the debtFor Privacy Act and City or town, state or province, country, and ZIP or foreign postal code 6 Description of property Act Notice, see the2 Long-term gain or loss Collectibles Service Center City or town, state or province, country, and ZIP or foreign postal code Paperwork Reduction General InstructionsAct Notice, see the current General Account number (see instructions) for Certain . Street address (including apt. no.) Ordinary QOF Account number (see instructions) 6 7 Fair market value of property Instructions for Information Returns 4Federal income tax withheld5Check if noncovered Certain Information Returns.Form(Rev. 4-2025) 41-0852411 www.irs.gov/Form1099A www.irs.gov/Form1099 5147 City or town, state or province, country, and ZIP or foreign postal code $ 6Reported to IRS: security information,5154 Form (Rev. 1-2022) 41-0852411 www.irs.gov/Form1099C $ Department of the Treasury - Internal Revenue Service 5138LENDERS name, street address, city or town, state or province, country, ZIP orDepartment of the Treasury - Internal Revenue Service Gross proceeds 7Check if loss is not allowedPrivacy Act, andDo1099-CCREDITORS name, street address, city or town, state or province, country, 1 OMB No. 1545-2281Do1099-A foreign postal code, and telephone no. OMB No. 1545-0877 Acquisition orPAYERS name, street address, city or town, state or province, country, ZIP 8 CORRECTED (if checked) PaperworkBroker andNotCutorSeparateFormsonThisPageCORRECTED (if checked)DoNotCut orSeparateFormsonThisPageNotC utorSeparateFormsonThisPageCORRECTED (if checked)DoNotCut orSeparateFormsonThisPage or foreign postal code, and telephone no. 2nd TIN not. Net proceeds based on amount in 1d Reduction Act ZIP or foreign postal code, and telephone no. CORRECTED 1 $ Form1099-C CancellationDETACH BEFORE MAILINGDETACH BEFORE MAILINGDETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSMANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSNotice, see the2025 on closed contracts OMB No. 1545-0715 Proceeds From LENDERS TIN 8080 t adres VOID CORRECTED Form$ Form1099-A Abandonment ofAccount number (see instructions) $ requirement $ IRS $ Applicable chec9kbox on Form 8949 Form1099-B General Copy B CREDITORS TIN 8585 stret adres, cityor VOID or DEBTORS TIN andZIPor $ foreignpostalcode $ 2 Amount of debt dischargedOMB No. 1545-2281 Cancellationof DebtLENDERS name, street address, city or town, state or province, country, ZIP or1 Date of lenders acquisition or(Rev. April 2025) Secured Property CUSIP number 15 16State tax withheld $ 10 open contracts12/31/2025 $ 11 on contracts 2025 CertainCREDITORS name, street address, city or town, state or province, country,2 Amount of debt discharged Form1099-C of Debt Copy Bopen contracts12/31/2024 Instructions forBarter Exchange Transactionsforeign postal code, and telephone no. OMB No. 1545-0877For calendar year1a Description of property (Example: 100 sh. XYZ Co.) Information ZIP or foreign postal code, and telephone no. 3 Interest, if included in box 2 (Rev. January 2022)1099-A Acquisition orCopy B 14State name $ 1c Date sold or disposed Returns. CREDITORS TIN For calendar year Abandonment of LENDERS TIN BORROWERS TIN knowledge of abandonment(Rev. April 2025)2 Balance of principalFor Borrower Form1099-B PAYERS TIN RECIPIENTS TIN 12Check if basis reported to 1b Date acquired13Bartering $ www.irs.gov/Form1099 DEBTOR'Sname, town,stateprovince, country, 4 Debt description (Rev. January 2022) Copy A For DebtoroutstandingFor calendar yearSecured Property 3 Interest, if included in box 24 Debt descriptionFor calendar year BORROWER'S name, stre , city or town, state or province, country, and ZIP or foreign postal code outstanding $ This is important tax$ 41-0852411 1d Proceeds $ 1e Cost or other basis For Recipient DEBTORS TIN $ information and is being 1 Date of lenders acquisition or 3 2 Balance of principal 4 Fair market value of propertyinformation and is beingThis is important tax knowledge of abandonment Copy A www.irs.gov/Form1099B Department of the Treasury - Internal Revenue ServiceBORROWERS TIN furnished to the IRS. If $ Internal Revenue Forpenalty or otherDo Not Cut or Separate Forms on This PageDo Not Cut or Separate Forms on This Page DEBTORS name 5 If checked, the debtor was personally liable for. . . . . . . .furnished to the IRS. If return, a negligence1fAccrued market discount 1g Wash sale loss disallowed For of the debt4. Fair market value of property Service Center sanction may bereturn, a negligence BORROWERS name 3 5 If checked, the borrower was personally liable for repayment. . . . . . . . . . imposed on you if7979 VOID CORRECTED $ 2 Short-term gain or loss $ 3If checked, proceeds from: repayment of the debtInternal Revenuesanction may be Service Centerpenalty or other $ taxable income resultsPAYERS name, street address, city or town, state or province, country, ZIP Applicable checkboLong-term gain or loss QOF Proceeds FromStreet address (including apt. no.) 5 Check here if the debtor was personally liable for. . . . . . . .File with Form 1096. 6 Description of property from this transactionor foreign postal code, and telephone no. x on Form 8949 OMB No. 1545-0715Collectibles Broker andAccount number (see instructions) repayment of the debt6 7 Fair market value of property imposed on you if taxable income results Privacy Act, andFor Privacy Act and Street address (including apt. no.)Account number (see instructions) 5 Check if the borrower was personally liable for repayment of. . . . . . . . . . . . and the IRS determinesOrdinary If checked, noncoveredThis is important taxfrom this transaction City or town, state or province, country, and ZIP or foreign postal code the debtwww.irs.gov/Form1099A Paperwork Reduction$ 6Reported to IRS: 2025 Barter ExchangeCity or town, state or province, country, and ZIP or foreign postal code $ Paperwork Reduction Account number (see instructions) (keep for your records) that it has not been reported. Gross proceeds Form1099-B Transactions Form 1099-C(Rev. 1-2022) (keep for your records) 6 and the IRS determines 6 Description of property Act Notice, see the4Federal income tax withheld5security information and isAct Notice, see the for Certain checked, loss is not allowedthe IRS. If you arethat it has not been reported.Form1099-A(Rev. 4-2025) General InstructionsVOID CORRECTED 7Ifbased on amount in 1d being furnished to5155 Account number (see instructions) $ current General Department of the Treasury - Internal Revenue Service 1a Description of property (Example: 100 sh. XYZ Co.) Instructions for Information Returns. www.irs.gov/Form1099C7 Fair market value of propertyDepartment of the Treasury - Internal Revenue ServiceForm(Rev. 4-2025) 41-0852411 www.irs.gov/Form1099A www.irs.gov/Form1099 PAYERS TIN PAYERS name, street address, city or town, state or province, country, ZIP 1b Date acquired Net proceeds1cA Date sold or disposed return, a negligenceBroker andForm (Rev. 1-2022) 41-0852411 www.irs.gov/Form1099C Certain Information Returns.penalty or otherDETACH BEFORE MAILING MANUFACTURED ON OCR LASER BOND PAPER USING HEAT RESISTANT INKSDepartment of the Treasury - Internal Revenue Service or foreign postal code, and telephone no. pplicable checkbox on Form 8949 OMB No. 1545-0715 Proceeds FromDepartment of the Treasury - Internal Revenue ServiceRECIPIENTS TIN $ 9 open contracts12/31/2024 Formsanction may beNotCutorSeparateFormson DoNotCut orSeparateFormsonThisPageDo1099-A LENDERS name, street address, city or town, state or province, country, ZIP orOMB No. 1545-0877 Account number (see instructions) $ 1d Proceeds $ 82025 on closed contracts1e Cost or other basis 2025 Barter ExchangeDo1099-CZIP or foreign postal code, and telephone no.ThisPage CORRECTED (if checked) 1 OMB No. 1545-2281NotC utorSeparateFormsonThisPageCORRECTED (if checked)DoNotCut orSeparateFormsonThisPage imposed on you if foreign postal code, and telephone no. CORRECTED Form1099-A Acquisition orCUSIP number requirement1f Accrued market discount10 $ Wash sale loss disallowed11on contracts Copy Athis income is8585 VOID 2025 image 2not availabletaxable and the IRSCREDITORS name, street address, city or town, state or province, country, 1099-B Transactionsdetermines that it 1g 1a Description of property (Example: 100 sh. XYZ Co.)8080 VOID Form(Rev. April 2025) Abandonment of14State name 15 $ 16State tax withheld $ open contracts12/31/2025 $ 13Bartering Forhas not beenCopy 2 ZIP or foreign postal code, and telephone no. CORRECTED 1 $Amount of debt discharged Form1099-C Cancellation LENDERS name, street address, city or town, state or province, country, ZIP orOMB No. 1545-0877For calendar yearSecured Property RECIPIENTS name PAYERS TIN $ $ Short-term gain or loss $ 31bCheck if proceeds from: Internal Revenuereported. To be Filed with CREDITORS name, street address, city or town, state or province, country,at ti $ me of printing. of Debt Date acquired OMB No. 1545-2281(Rev. January 2022)foreign postal code, and telephone no. BORROWERS TIN 1 Date of lenders acquisition oroutstanding Acquisition orCopy B Form1099-B 2 Long-term gain or loss12If checked, basis reported$ $ 1c Date sold or disposed Recipients State or CREDITORS TIN DEBTORS TIN $ 3 Interest, if included in box 2Form1099-C CancellationCopy BLENDERS TIN 1099-A Abandonment ofStreet address (including apt. no.) (Keep for your records) to IRS $ Collectibles Service CenterReturn, or Copy 1 $ 2 Amount of debt discharged For calendar yearof Debt For Debtorknowledge of abandonment(Rev. April 2025)2 Balance of principalFor Borrower RECIPIENTS TIN 1d1e Cost or other basis Local Income Tax 4 Debt description(Rev. January 2022)For calendar yearSecured Property 4Federal income tax withheldwww.irs.gov/Form1099B5 QOFProceeds 3 Interest, if included in box 2 For calendar year OrdinaryLENDERS TIN BORROWER'S name, stret adres, city or town, state or province, country, and ZIP or foreign postal code $ This is important taxCity or town, state or province, country, and ZIP or foreign postal codet , or or $ 6Reported to IRS: or postalcode $ Check if noncovered Department of the Treasury - Internal Revenue Service For State Tax CREDITORS TIN DEBTOR'Sname,stret adres DEBTORS TIN or orprovince, country,andZIPorforeignpostalcode Copy ABORROWERS TIN 1 Date of lenders acquisition or 3 2 Balance of principal 4 Fair market value of propertyinformation and is beingRECIPIENT'Sname,streadrescitytown,stateprovince,Gross proceedsforeign security $ 1g Wash sale loss disallowed Department , citytown,state 4 Debt description This is important tax knowledge of abandonment outstanding Copy A 1fAccrued market discount information,information and is being furnished to the IRS. If7Check if loss is not allowedPrivacy Act, and $ Forpenalty or otheror foreign postal code, and telephone no. country,andZIP based on amount in 1d If QOF PaperworkBroker andDEBTORS name 5 If checked, the debtor was personally liable for. . . . . . . .furnished to the IRS. If $ Internal RevenueCORRECTED (if checked) 3If checked, proceeds from: For return, a negligence2 Short-term gain or loss Reduction Act BORROWERS name 3 of the debt. . . . . . . . . Service Center . sanction may bePAYERS name, street address, city or town, state or province, country, ZIP Net proceeds82025 on closed contractsApplicable checkboxLong-term gain or loss9on Form 8949 OMB No. 1545-0715 Proceeds Fromrepayment of the debtInternal Revenuepenalty or other Collectibles5 If checked, the borrower was personally liable for repaymentOrdinary Notice, see the return, a negligence Street address (including apt. no.) 4. Fair market value of property imposed on you ifAccount number (see instructions) 2nd TIN not. $ 10 open contracts12/31/2025 $$ Reported to IRS: 20 5 25 GeneralFor Privacy ActStreet address (including apt. no.) 5 Check here if the debtor was personally liable for . . . . . . . .Service Center sanction may be open contracts12/31/2024 checked, noncoveredimposed on you if 6 Description of property taxable income results4Federal income tax withheld Instructions for File with Form 1096. from this transaction1099-B Barter Exchangetaxable income results City or town, state or province, country, and ZIP or foreign postal code $ Privacy Act, andCUSIP number 15 requirement $ $ 116on contracts FormsecurityCertainand PaperworkAccount number (see instructions) repayment of the debt6 $ For Privacy Act and Account number (see instructions) 5 Check if the borrower was personally liable for repayment of. . . . . . . . . . . . and the IRS determines1a Description of property (Example: 100 sh. XYZ Co.) Transactions Paperwork Reduction Form(Rev. 4-2025) 5146 www.irs.gov/Form1099A Paperwork Reduction14State name PAYERS TIN 5153 $ 16State tax withheld IRS $ 1d Proceeds $ Gross proceeds $ 9 InformationCopy B Reduction ActCity or town, state or province, country, and ZIP or foreign postal code www.irs.gov/Form1099C 6 $ 7 Fair market value of property and the IRS determines Returns. from this transaction the debtthat it has not been reported. 7Ifbased on amount in 1d Act Notice, see the Act Notice, see the checked, loss is not allowed General Instructionsthat it has not been reported.1099-A6 Description of propertywww.irs.gov/Form1099A Department of the Treasury - Internal Revenue Service 12Check if basis reported to 1b Date acquired13BarteringNet proceeds1c Date sold or disposed Notice, see theAccount number (see instructions) (Rev. 1-2022) (keep for your records) current General Account number (see instructions) (keep for your records) for Certain . FormCUSIP number $ RECIPIENTS TIN www.irs.gov/Form1099B 82025 on closed contracts www.irs.gov/Form1099 2025 GeneralForm Form 1099-CLCA 5137 41-0852411 Instructions for Information Returns open contracts12/31/2024 www.irs.gov/Form1099C7 Fair market value of propertyDepartment of the Treasury - Internal Revenue ServiceForm1099-A(Rev. 4-2025) 41-0852411 www.irs.gov/Form1099 1099-B Account number (see instructions) $ $ 1e Cost or other basis Instructions for Certain 1099-C(Rev. 1-2022) Certain Information Returns.Department of the Treasury - Internal Revenue Service 41-0852411 Department of the Treasury - Internal Revenue Service Information Department of the Treasury - Internal Revenue ServiceCORRECTED (if checked) requirement open contracts12/31/2025 For Recipient Returns. CORRECTED (if checked)1fAccrued market discount10 1g Wash sale loss disallowed11on contractsLENDERS name, street address, city or town, state or province, country, ZIP orOMB No. 1545-0877 14State name 15 $ $ $ 3If checked, proceeds from: CREDITORS name, street address, city or town, state or province, country, 1 OMB No. 1545-2281foreign postal code, and telephone no. Form1099-A Acquisition or$ 16State tax withheld2 Short-term gain or loss Collectibles $ 13Bartering This is important taxZIP or foreign postal code, and telephone no. $ 2 Amount of debt discharged Form1099-C Cancellation (Rev. April 2025) Abandonment of$ Long-term gain or loss12If checked, basis reported$to IRSFor calendar yearSecured Property Form1099-B Ordinary If checked, noncovered Department of the Treasury - Internal Revenue Service 3 Interest, if included in box 2 (Rev. January 2022) of Debt4Federal income tax withheldwww.irs.gov/Form1099BQOF information and isFor calendar year 1 Date of lenders acquisition or 2 Balance of principalCopy B $ 6Reported to IRS: 5security being furnished toCREDITORS TIN DEBTORS TIN $ 4 Debt description Copy B checked, loss is not allowedthe IRS. If you are LENDERS TIN t adres BORROWERS TIN 3 knowledge of abandonment $ outstanding For Borrower VOID Gross proceeds 7Ifbased on amount in 1d return, a negligenceDEBTOR'Sname,stret adres, cityortown,stateorprovince, country,andZIPorforeignpostalcode For DebtorBORROWER'S name, stre , city or town, state or province, country, and ZIP or foreign postal code $ 4 Fair market value of property This is important taxor foreign postal code, and telephone no. CORRECTED OMB No. 1545-0715 Proceeds Frominformation and is being information and is beingpenalty or other furnished to the IRS. IfPAYERS name, street address, city or town, state or province, country, ZIP Net proceeds8 Applicable che9ckbox on Form 8949 sanction may beBroker andThis is important tax 5 If checked, the borrower was personally liable for repaymentreturn, a negligenceAccount number (see instructions) $ 10 2025 on closed contracts $ open contracts12/31/2024 2025 Barter Exchange5 If checked, the debtor was personally liable for. . . . . . . .furnished to the IRS. If imposed on you if penalty or otherthis income is of the debt . . . . . . . . . . . sanction may beCUSIP number requirement open contracts12/31/2025 11on contracts taxable and the IRSrepayment of the debtreturn, a negligence imposed on you ifForm1099-B Transactions sanction may be determines that itpenalty or other 6 Description of property taxable income results14State name 15 16State tax withheld $ 1a Description of property (Example: 100 sh. XYZ Co.)has not beenCopy 2 imposed on you if from this transaction$ 1c Date sold or disposed reported. taxable income results Account number (see instructions) and the IRS determines$ 12If checked, basis reported 1b Date acquired13Bartering To be Filed with Account number (see instructions) 6 7 Fair market value of property from this transaction www.irs.gov/Form1099A that it has not beenForm1099-B PAYERS TIN 5154 (Keep for your records) to IRS $ 1d Proceeds $ $ 1e Cost or other basis Recipients State or Form 1099-C(Rev. 1-2022)LCB (keep for your records) 5138www.irs.gov/Form1099C $ and the IRS determines reported. $ RECIPIENTS TIN www.irs.gov/Form1099B Department of the Treasury - Internal Revenue Service that it has not been reported.Form1099-A(Rev. 4-2025) (keep for your records) 5147 Department of the Treasury - Internal Revenue Service 1fAccrued market discount 1g Wash sale loss disallowedReturn, or Copy 1 Department of the Treasury - Internal Revenue ServiceLocal Income TaxFor State Tax$ $ DepartmentRECIPIENT'Sname,stretadres,cityortown,stateorprovince,country,andZIPorforeignpostalcode 2 Short-term gain or loss 3If checked, proceeds from:Long-term gain or loss CollectiblesOrdinary QOFRequired Envelope: $ 4Federal income tax withheld5 security For Privacy ActRequired Envelope:If checked, noncovered 6Reported to IRS: 7Ifbased on amount in 1d and Paperworkchecked, loss is not allowed Gross proceeds Reduction Act Net proceeds Notice, see the DW19W or DW19WS Account number (see instructions) requirement $ 82025 on closed contracts $ 9 open contracts12/31/2024 2025 GeneralDW19W or DW19WSInstructions for CUSIP number 10 open contracts12/31/2025 11on contracts CertainInformationReturns.14State name 15 16State tax withheld $ $$ 12If checked, basis reported 13Bartering$ to IRS $Form1099-B 5155 www.irs.gov/Form1099B Department of the Treasury - Internal Revenue ServiceRequired Envelope:77771 or 77772(5) 1096 Transmittal forms are included with each Federal Copy A (Red) form orderSheets per pack2550FORM DESCRIPTIONN/A5146501099-A Federal Copy A1 Sheet Equals 3 FormsN/A5147501099-A Borrower Copy B1 Sheet Equals 3 Forms5153255153501099-B Federal Copy A1 Sheet Equals 2 Forms5154255154501099-B Recipient Copy B1 Sheet Equals 2 Forms5155255155501099-B State and/or File Copy1 Sheet Equals 2 FormsN/A5137501099-C Federal Copy A1 Sheet Equals 3 FormsN/A5138501099-C Debtor Copy B1 Sheet Equals 3 Forms8"